| Encompass Integrative Health, Llc | |
|
19230 Evans St Nw Ste 109 Elk River MN 55330-1079 | |
| (952) 232-6054 | |
| (952) 232-6350 |
| Full Name | Encompass Integrative Health, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 19230 Evans St Nw Ste 109, Elk River, Minnesota |
| Authorized Official Name and Position | Rebecca Fischer (CO OWNER) |
| Authorized Official Contact | 7154976802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Encompass Integrative Health, Llc 19230 Evans St Nw Ste 109 Elk River MN 55330-1079 Ph: (952) 232-6054 | Encompass Integrative Health, Llc 19230 Evans St Nw Ste 109 Elk River MN 55330-1079 Ph: (952) 232-6054 |
| NPI Number | 1023608254 |
|---|---|
| Provider Enumeration Date | 01/21/2021 |
| Last Update Date | 01/02/2023 |
| Certification Date | 01/02/2023 |
| Medicare PECOS PAC ID | 1557728318 |
|---|---|
| Medicare Enrollment ID | O20230609000555 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023608254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rebecca Ruth Fischer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326371246 PECOS PAC ID: 5294993366 Enrollment ID: I20120221000203 |
| Provider Name | Stacey Lynn Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760790828 PECOS PAC ID: 9537385299 Enrollment ID: I20140801001326 |
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